• A&A practice · Mar 2021

    Case Reports

    Ultrasonography Using the Right Supraclavicular Fossa View Detects Pathology and Facilitates Solutions for Placement of Peripherally Inserted Central Catheters: A Case Report.

    • Peter Carøe Lind, Ellen Kirkegaard, and Peter Juhl-Olsen.
    • From the Departments of Anaesthesiology.
    • A A Pract. 2021 Mar 8; 15 (3): e01420.

    AbstractThe right supraclavicular fossa view allows for ultrasonographic visualization of the central veins. A preprocedural scan of an asymptomatic 38-year-old man referred for peripherally inserted central catheter (PICC) insertion revealed a large thrombus in the right brachiocephalic vein. Hence, a left-sided insertion was chosen. Using the right supraclavicular view, the PICC was visualized in the left brachiocephalic vein, and the catheter was followed to its final position, avoiding contact with the thrombus. Thus, the right supraclavicular fossa view allowed for the detection of relevant pathology and facilitated an alternative feasible strategy with real-time catheter guidance during PICC insertion.Copyright © 2021 International Anesthesia Research Society.

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